Individual
JILL L HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCAS
Contact information
Practice address
1100 NAVAHO DR, SUITE 125, RALEIGH, NC 27609-7319
(919) 431-9874
(919) 550-9438
Mailing address
1100 NAVAHO DR, SUITE 125, RALEIGH, NC 27609-7319
(919) 431-9874
(919) 550-9438
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1394
NC
Other
Enumeration date
03/24/2009
Last updated
03/24/2009
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